| NPI | 1538765375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046746) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2025-05-30 |